Search › California › 101Y00000X

Jacob Porter

NPI 1053631242 · on the registry since 2010

Practice

Address
4368 Lincoln Ave
Oakland, CA 94602
Phone
(510) 531-3111
Organisation at this address
Lincoln Child Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
230

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California